[Is early excision-graft justified in hand burns in children? Report of 201 cases]. / L'excision-greffe précoce est-elle justifiée dans les brûlures de la main chez l'enfant? A propos de 201 observations.

The authors wish to show the difference between hand burns in children and adults. Throughout a group of 201 observations, they confirm the predominance in children of hands burns on palmar face. For them, the directed cicatrization by fat dressing associated with splints set in position of maximum cutaneous stretching is the first therapeutic. The early tangential excision and grafting is suitable only in rare indications, for instance in electric burns.

[Long-term results of the Harrington operation. Apropos of a series of 200 cases (1964-1986)]. / Résultats à long terme de l'opération de Harrington. A propos d'une série de 200 cas (1964-1986).

The authors present a series of 200 patients who underwent vertebral arthrodesis with Harrington's distraction rods for idiopathic scoliosis reviewed after a mean follow-up of 7.5 years (maximum: 24 years). The surgical procedure consisted of either simple distraction or distraction associated with convex compression or a transverse traction device or insertion of double rods according to Armstrong's technique. The operative gain was 44%, the angular loss was 12% and the definitive gain was 32%. The results were better in girls and in juvenile scoliosis type III and adolescent scoliosis. The best long-term correction was obtained in cases of lumbar scoliosis. The best operative reduction was obtained in thoracic and thoracolumbar scoliosis and the greatest angular loss was observed with major double scolioses. The most favourable results were obtained in cases of scoliosis were severe angulation. The best system was Armstrong's followed by Dollar's and the least effective was simple distraction. Heavy pre- and intra-operative vertebral traction improved the angular score. Rupture of the rod, when it occurred late, was not equivalent to pseudarthrosis. Angular deterioration over time was essentially observed over the first 10 years but led to disappointing results.

[Multiple wounds in children. Apropos of 76 cases]. / Les enfants polytraumatisés. A propos de 76 observations.

Polytraumatisms in the child are relatively unfrequent, less severe, and get a lower rate of deaths compared with polytraumatisms in the adult. The indirect traumatism, being most frequent, is explained by projection and ejection. Direct traumatism is scacre. A classification in 4 types is proposed: type I: visceral polytraumatised child, type II: multiple fractured one, type III: mixed visceral and multiple fractured one, type IV: the crippled one. Cranial trauma has to be noticed as being a constant one. The relative unfrequency of spine, belly and thoracic injuries; the most frequent happening of peripheral traumatisms; the severeness of mutilations are emphasised. Multiple fractured children are healed with very remaining mutilations; the social and economic load is heavy; the pophylactics hypothetical.